20190671 Ver 1_Shoreline Stabilization_20190520

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
One copy of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [ 15A NCAC 02H .0502(a ]
1. Owner Information
Name:
Mailing Address: J 9 5 81 We.lborn Dr-.
Ski err, Iks Vt',rd . NC aALe -13
20190s��
Telephone Number: 70y - 518- 13l4 Fax Number:
E-mail Address: �ct Sl T��u}�cx�K _Com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
httr)://www.saw.usace.armv.miI/Portals/59/docs/reRulatory/reedocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation: C1`3C '21ane anti
Mailing Address: r'!�M
Volol&J( I.
anc) re 5v t I I P. NC II_
Telephone Number: 10 A- UVtLI � [ Fax Number: rJ0L - 1+1 0 - 5q6 ej
E-mail Address:
Person to receive the i
11. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

and construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted) II�-�
County: �'n+�ha_ Nearest Town: S herr MS rnrA
Subdivision name or site address (include phase/lot number): LAC)BI [kjc[ioorn or_
Sherr*db VC - 613 lot # in CreSCen+ I-acd EriCY Le -r Zero.
Directions to site - please include road names and numbers, landmarks, etc.:
See a c ehe cd
Latitude (in decimal degrees) 5, 50 31 a, Longitude (decimal degrees) — W. 981 al a
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):I�'►e biAe-n+►a.l
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: tl�o rrnckn
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Shc�, _ Slo►?e_ m5ball ma. %r%a a.M
Class "13" �00c
9. Will work be conducted from land? From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: "ey2.
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance): gra.sS
rorn "en} pro?erAtA owned by same, person
r/ gent's Sign tre` [15A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/ Normal Water Level)
houst
5' ke-(oLo
I ls'i ► I eng't'Ir1
�o %rees removed
(�fl i ri ► �flo.l d i pior ba-nCZ
-ko 60KC C
\o
Ae.Cf.SS �r a�iJc►cen k
proper owned lot,
Same Verson
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
Larry and Linda Sloop
4587 Welborn Dr.
Sherrills Ford, NC 28673
FORM: SSGP 10-2013 Page 3 of 3

5/1312019 610 East Center A\enue, Mooresville, NC to 4587 Welborn Dr, Sherrills Ford, NC 28673- Google Maps
Go gle Maps 610 East Center Avenue, Mooresville, NC to 4587 Drive 12.8 miles, 26 min
Welborn Dr, Sherrills Ford, NC 28673
610 E Center Ave
Mooresville. NC 28115
t 1. Head south on Evergreen St toward E Center Ave
14 s (197 ft)
Take NC -150 W to Drena Rd in Lake Norman of Catawba
24 min (12.0 mi)
& 2. Turn right onto E Center Ave
0.5 mi
`1 3. Turn left onto S Church St
397 ft
r' 4. Turn right onto E McLelland Ave
1.1 mi
'1 5. Use any lane to turn left onto NC -150 W/E Plaza Dr
0 Continue to follow NC -150 W
0
Pass by Zaxby's Chicken Fingers & Buffalo Wings (on
the right in 1.3 mi)
9.9 mi
'1 6. Turn left onto Slanting Bridge Rd
Take Giles Ave to Welborn Dr
11 7. Turn left onto Drena Rd
r' 8. Slight right onto Giles Ave
r' 9. Turn right onto Welborn Dr
8 Destination will be on the right
4587 Welborn Dr
Sherrills Ford, NC 28673
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
0.4 mi
2 min (0.8 mi)
0.2 mi
0.4 mi
0.2 mi
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0 WR catawba county Geospatial
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MAKING. HYING. SETTLE Information Services Real Estate Search
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Parcel: 461601089000, 4587 WELBORN DR SHERRILLS FORD, 28673
Owners: SLOOP LARRY A, SLOOP LINDA S
Owner Address: 4587 WELBORN DR
Values - Building(s): $528,500, Land: $260,700, Total: $789,200
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
05/13/2019

SM3019
Go gle haps 4587 Welborn Dr
4587 Welborn Dr - Google Maps
Imagery @2019 Google, Map data ©2019 Google 50 ft
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5/13019 4587 Welborn Dr - Google Maps
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Larry and Linda Sloop
4587 Welborn Dr.
Sherrills Ford, NC 28673

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project• . jk w .
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Owner:
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et V31119n - a P;
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The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H.0506 and 15A NCAC 02B.0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B.0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 026.0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B.0243(5), (6)]
Acknowledgement of Notification
0 hereby state that I have been informed of the Catawba
Riparian B ffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification (s), and other supporting
materials.
Signature (owner): O� Date: 4/�
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 27699-1611
919.707.9000